DR. HANA BONEFACIC M.D
NPI 1578525697
Pediatrics in Fridley, MN

Q: What is Hana Bonefacic's NPI number?

The NPI number for Hana Bonefacic is 1578525697. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Q: What is Hana Bonefacic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Hana Bonefacic was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 04, 2006PECOS Enrolled

6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432(763) 572-5710(763) 586-5955 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Hana Bonefacic M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HANA BONEFACIC M.D (NPI 1578525697) is an individual pediatrics provider in Fridley, Minnesota, licensed in Minnesota (43372) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578525697

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. HANA BONEFACICCredential: M.D

Location Address6341 UNIVERSITY AVE NEFridley, MN 55432-4946

Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008

Phone(763) 572-5710

Fax(763) 586-5955

Sole ProprietorNo

Enumeration DateApril 4, 2006

Last NPPES UpdateMarch 21, 2012

✔ NPI 1578525697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 43372

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6341 UNIVERSITY AVE NE, Fridley, MN 55432

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Other Identifiers 11

Other6603951MN · Medica Uc

Other7075448MN · Aetna

Medicare UPINH33220MN

Medicaid529168200MN

Other1199512MN · America's Ppo

OtherHP32337MN · Healthpartners

Other1201137MN · Medica

Other151487MN · Ucare Mn

Other003D2BOMN · Bcbs Of Mn

Medicare ID-Type Unspecified370002212MN

Other1026176MN · Preferred One

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hana Bonefacic M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Hana Bonefacic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics

Same address

Multi-Specialty

6341 UNIVERSITY AVE NE
Fridley, MN 55432

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1205017670 (763) 572-5700

Fairview Health Services

8.2 mi

General Acute Care Hospital

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1013994359 (612) 672-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN E. SADOWSKY M.D.

Ophthalmology